| NPI | 1164034898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC07461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 7461) |
| 101YP2500X Counselor, Professional (Licence: OK 7461) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-12-04 |