| NPI | 1922203181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2005009392) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: MO 0341834) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |