| NPI | 1720287741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8803) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 2643) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2026-02-24 |