| NPI | 1508195686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK LPC04654) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK LPC Candidate) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2024-08-14 |