| NPI | 1891804050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 0124) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 3234) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |