| NPI | 1578185773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 2657) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 6129) |
| 101YP2500X Counselor, Professional (Licence: OH 1901316) | |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |