| NPI | 1508915174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 5102) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 18800) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |