| NPI | 1962699405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WI 2093-132) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 12502) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |