| NPI | 1003330994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5173) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C5173) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2022-07-08 |