| NPI | 1871841809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK #231880) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OK #409169) |
| Enumeration Date | 2012-08-23 |
| Last Update Date | 2012-08-23 |