| NPI | 1609020957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: MO 0405355) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008032230) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2008-11-13 |