| NPI | 1922268069 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103TS0200X Psychologist, School | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 1345) | 
| Enumeration Date | 2008-06-12 | 
| Last Update Date | 2014-03-03 |