| NPI | 1326509308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11196) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 11196) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2025-04-07 |