| NPI | 1427305119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 4816) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63343) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2023-08-24 |