| NPI | 1477520716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6583) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WY 1424) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-12-21 |