| NPI | 1710054416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 3583) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 2742) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |