| NPI | 1366723207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3251) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: OR C3251) | |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2015-02-18 |