| NPI | 1902103500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WI 845-226) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WI 726668) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |