| NPI | 1396156642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 2530) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 2530) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2023-12-30 |