| NPI | 1871787580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5389) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3146) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2012-06-05 |