| NPI | 1285142802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR c1949) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: C1949) |
| 251S00000X (Licence: OR C1949) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2021-12-20 |