| NPI | 1154944460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A4715) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A4715) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-21 |