| NPI | 1386815082 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4862) | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 101YS0200X) | 
| Enumeration Date | 2008-03-20 | 
| Last Update Date | 2022-09-01 |