| NPI | 1366656274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NM 0128911) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 1760) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-09-30 |