| NPI | 1023297744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO .0014562) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 3784) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2024-07-19 |