| NPI | 1770029472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 11224) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101Y00000X Counselor (Licence: OK 11224) | |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2026-06-03 |