| NPI | 1528598109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7715) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R5203) |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-08-19 |