| NPI | 1952534448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 1975) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2009024076) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2011-09-01 |