| NPI | 1013245364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 0089) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 0089) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2020-12-30 |