| NPI | 1336277649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MO 940) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OK 730) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-07-09 |