| NPI | 1144457409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 3895) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 11141) |
| Enumeration Date | 2009-06-14 |
| Last Update Date | 2012-05-10 |