| NPI | 1811935224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1238) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC2725) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-09-16 |