| NPI | 1962535005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 2825) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 51969 - NCC) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |