| NPI | 1154856581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 10388) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OK 66013) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2023-06-20 |