| NPI | 1013277201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR R7631) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00185) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2024-05-21 |