| NPI | 1174030779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6264) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R6472) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2022-06-10 |