| NPI | 1588855910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR RR0502) |
| 174M00000X Veterinarian (Licence: OR 4404) | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-08-09 |