| NPI | 1154704559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 2370-125) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WI 173951) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |