| NPI | 1851604151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5053) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OK 22542) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2014-04-30 |