| NPI | 1821117599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4503) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0100801) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-10-31 |