| NPI | 1538535174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 22675) |
| 101YM0800X Counselor, Mental Health (Licence: OK 06711) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2025-06-09 |