| NPI | 1255535365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R6651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 10393114) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2021-01-25 |