| NPI | 1013110451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 1218) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OK 1218) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-04-22 |