| NPI | 1134880651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 10424) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72382) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2022-01-06 |