| NPI | 1306230925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4485) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R3502) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2021-05-06 |