| NPI | 1518516988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPCC.0015417) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 137057) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |