| NPI | 1114264504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: OK 105499) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |