| NPI | 1164615241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4893) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2014-08-14 |