| NPI | 1477706505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 3126-125) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WI 156451) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-05 |