| NPI | 1194013441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C5069) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH6549) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-01-13 |