| NPI | 1013279710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5404) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 5404) |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2020-12-14 |