| NPI | 1619927381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3057) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 03-195) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-03-08 |