| NPI | 1821318783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: OK R0064269) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2013-07-01 |