| NPI | 1013592187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 202005978RN) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |