| NPI | 1184821845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHPC-001168) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 13326) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2024-10-29 |