| NPI | 1588170682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 264410) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 10378) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2022-01-22 |