| NPI | 1982698312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1635) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 4254) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-05-23 |