| NPI | 1922385855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3369) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: LA 668) |
| Enumeration Date | 2011-11-06 |
| Last Update Date | 2011-11-06 |