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 | 2025-08-15 |