| NPI | 1023385077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: OR C7078) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2023-07-06 |