| NPI | 1356686133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 002171) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CT 5517432814) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |