| NPI | 1811926330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 910) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ID 3613) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-09 |