| NPI | 1851723506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5833) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OK 226270) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2015-09-14 |