| NPI | 1003394503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2020037394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2020037394) |
| 101YP2500X Counselor, Professional (Licence: OK 11637) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-05-14 |