| NPI | 1669470787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5255) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 915) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2017-02-20 |