| NPI | 1972587087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 329) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KS 824) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2013-07-02 |