| NPI | 1205571809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CO 278469) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0018172) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-04-28 |