| NPI | 1285247213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 10510) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 10468) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-11-29 |