| NPI | 1053631077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: OR R1285) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2022-07-21 |