| NPI | 1831889807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OK 9060) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 9060) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |