| NPI | 1639384571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 2967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 2967) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2010-06-29 |