| NPI | 1154856581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 10388) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 10388) |
| 103TS0200X Psychologist, School (Licence: OK 66013) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2026-04-02 |