| 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 |