| NPI | 1841623444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6100) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: OK BHRS Certification) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2021-03-04 |