| NPI | 1114209467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 0389840 Teacher) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 0389840 Teacher) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |