| NPI | 1134989205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0021846) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 1426201) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-20 |