| NPI | 1063220812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 21380) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 21380) |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |