| NPI | 1285233460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-I-003183) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-R-0816) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-07-21 |