| NPI | 1861682288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2007022540) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MO 0380654) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |