| NPI | 1407190531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: OK 402051) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |