| NPI | 1114005048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR 3878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: HI 322) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-06-06 |