NPI | 1205112125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2612) |
Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 810272) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2014-06-13 |