| NPI | 1023641271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor School (Licence: NC 1193077) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NC A14244) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2020-02-17 |