| NPI | 1629110853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6574) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHP-R-0833) |
| 101YP2500X Counselor, Professional (Licence: OK 3893) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-12-28 |