| NPI | 1710303516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5241) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 14680) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |