| NPI | 1154597771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 1627125) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WI L635000118158) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |