| NPI | 1821239153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6078) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2008027999) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2016-03-30 |