| NPI | 1396828828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ CC-10864) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 1670) |
| 101YS0200X Counselor, School (Licence: AZ CC-10864) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |