| NPI | 1114220803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC06697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 081240263) |
| 101YP2500X Counselor, Professional (Licence: OK LPC06697) | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2024-12-24 |