| NPI | 1033258306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 2982) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2982) |
| 101YP2500X Counselor, Professional (Licence: OK 2982) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |