| NPI | 1487922811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: LA 3842) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: LA AN 508411) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |