| NPI | 1235650748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 7088) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-04-16 |