| NPI | 1497046551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ 13663) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2012-02-24 |