| NPI | 1205996279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MA 114103) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: MA 425199) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-09-01 |