| NPI | 1780905422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1994) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 12889) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2011-04-21 |