| NPI | 1235675745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 2630956) |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-01-09 |