| NPI | 1528642147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR L11524) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L11524) |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-06-06 |