| NPI | 1174990378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 4185) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OK 183716) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |