| NPI | 1548539851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6088) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: OK IN PROCESS) |
| 101Y00000X Counselor | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2016-11-29 |