| NPI | 1831430545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6099) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2012026528) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2016-09-07 |