| NPI | 1053869644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 236703) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MA 372872) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |