| NPI | 1740649797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7740) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK 1-20-43677) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2021-09-13 |