| NPI | 1104473206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR 22-QMHP-R-1496) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2022-08-15 |