| NPI | 1083139141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WV 2407) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WV 400) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2023-10-17 |