| NPI | 1225491343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OK 20612) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2024-02-05 |