| NPI | 1497191555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4681) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.1000657) |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2021-03-22 |