| NPI | 1790049690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 6380) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 6380) |
| 101YM0800X Counselor, Mental Health (Licence: AZ 23322) | |
| 101YP2500X Counselor, Professional (Licence: AZ 23322) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2026-01-26 |