| NPI | 1235373465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 440) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 440) |
| 101YP2500X Counselor Professional (Licence: OK 15991) | |
| 101YS0200X Counselor School (Licence: OK 109413) | |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |