| NPI | 1154691509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 07458) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 7458) |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2024-10-06 |