| NPI | 1407180375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OK 2408) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 2408) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OK 324) | |
| 101YM0800X Counselor Mental Health (Licence: OK 2408) | |
| 101YS0200X Counselor School (Licence: OK 2408) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |