| NPI | 1518113950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CT 000338) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: CT 068) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |