| NPI | 1225176472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC02202) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 2202) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-01-17 |