| NPI | 1578154522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NC A15857) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: NC 1220611) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |