| NPI | 1619182912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 8766) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: OK 8766) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2007-08-10 |