| NPI | 1407077001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: NC 5136) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 5136) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-07-15 |