| NPI | 1124658315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 1447715834) |
| 101Y00000X Counselor | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2024-05-21 |