| NPI | 1053916346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 11397) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2020-12-03 |
| Last Update Date | 2023-04-13 |