| NPI | 1821437658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CT 002374) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 005042-1) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |