| NPI | 1649077959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 12639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 12639) |
| 101Y00000X Counselor (Licence: OK 12639) | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2026-08-03 |