| NPI | 1588411961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-CRM-3292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 110582) |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-06-03 |