| NPI | 1821346818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 5004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: LA CI 5004) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2014-09-10 |