| NPI | 1306493325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KS 03528) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 11278) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-02-12 |