| NPI | 1578933909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C7897) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00903) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2024-01-16 |