| NPI | 1063843613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 1553) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: SC 162252) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |