| NPI | 1942251947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 3719) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 3522) |
| Enumeration Date | 2006-05-14 |
| Last Update Date | 2009-10-20 |