| NPI | 1790929180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5579) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC LPC 5579) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |