| NPI | 1932458114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 1413) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD 7121) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2012-09-05 |