| NPI | 1538183694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 207) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 64) |
| 103T00000X Psychologist (Licence: OK LPC 207) | |
| 103TS0200X Psychologist, School (Licence: OK Certificate 127649) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2013-01-18 |