| NPI | 1508326943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C9687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R8055) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-04-16 |