| NPI | 1578852208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 197338) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 5767) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-10-21 |