| NPI | 1326299827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK 5235) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YP2500X Counselor Professional (Licence: OK 5235) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2014-02-20 |