| NPI | 1528791035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C9045) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R7800) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2026-03-03 |