| NPI | 1013265727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 5460) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 5460) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2023-07-20 |