| NPI | 1639459316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 05981) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2025-05-14 |