| NPI | 1285159343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK LPC07280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: OK 7280) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-04-04 |