| NPI | 1376175398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: OR 2684247) | |
| 101YM0800X Counselor, Mental Health (Licence: OR C5462) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-10-19 |