| NPI | 1760723019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 6043) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2018-04-30 |