| NPI | 1841461688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OK 3482) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 0331) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |