| NPI | 1922293067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 0632) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 841) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-09-12 |