| NPI | 1669613675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 1869) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2010-03-12 |