| NPI | 1336659804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 086000298RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 86000298RN) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |