| NPI | 1770804726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 11180) |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2026-01-05 |