| NPI | 1619480068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ID LPC-6708) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CO 193397) |
| 101YS0200X Counselor, School (Licence: AZ 4983747) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |