| NPI | 1881911097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 5163) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3453) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-08-23 |