| NPI | 1952769424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4437) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OK 4437) |
| 101YM0800X Counselor, Mental Health (Licence: LA 3348) | |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |