| NPI | 1568839215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR 24-QMHPC-001405) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2024-07-02 |