| NPI | 1386941763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR OR2699) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R1626) |
| Enumeration Date | 2011-02-19 |
| Last Update Date | 2019-03-18 |