| NPI | 1114440658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6244) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C6244) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2022-10-11 |