| NPI | 1447245055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MO 001755) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 001755) |
| 101YS0200X Counselor School (Licence: MO 0235173) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |