| NPI | 1790713196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL L230) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AL 1643) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-04-11 |