| NPI | 1619511169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R5137) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R5137) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2021-12-14 |