| NPI | 1013114941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5282) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS LPC under sup.) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-03-19 |