| NPI | 1255640660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2783) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 1016969) |
| Enumeration Date | 2010-10-03 |
| Last Update Date | 2012-05-29 |