| NPI | 1063779700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1194-226) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WI 701197) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |