| NPI | 1679614937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 3136) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |