| NPI | 1790788206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3425 LPC) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 47974 NCC) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2007-10-30 |