| NPI | 1093017436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5475) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2010038925) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2014-08-25 |