| NPI | 1407382294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A12370) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0014978) |
| 101YP2500X Counselor, Professional (Licence: OK 6369) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |