| NPI | 1275844185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C6068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R2204) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-06-07 |