| NPI | 1760653281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 2585-125) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WI R300000592801) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |