| NPI | 1831419563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LAC-13214) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 7320) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |