| NPI | 1306160197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5583) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 0435543) |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2015-12-07 |