| NPI | 1326341728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R1599) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2020-02-18 |