| NPI | 1780218099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 7445) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: OK 270141) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |