| NPI | 1366608689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4038) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 133V00000X Dietitian, Registered (Licence: OK 710341-571) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |