| NPI | 1629634092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 17787) |
| Enumeration Date | 2019-05-11 |
| Last Update Date | 2026-09-18 |