| NPI | 1912201161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0141941) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1498) |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2014-02-26 |