| NPI | 1952715138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 271) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 120009170) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-01-22 |