| NPI | 1588047237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 6917) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK LPC Candidate) |
| 251B00000X Case Management | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2019-10-31 |