| NPI | 1003512187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 11592) |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2025-10-14 |