| NPI | 1942336904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 2821) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 3273) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |