| NPI | 1548743354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8799) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10193411) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2025-09-09 |