| NPI | 1134761620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK 28080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 457) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |