| NPI | 1205494069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 22995) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-08-05 |