| NPI | 1912338955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 5157) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 5715) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-04 |