| NPI | 1609100239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1668) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OK 213336) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2010-06-28 |