| NPI | 1164602033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 3442) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NM 0101391) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2019-06-04 |