| NPI | 1649505322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200940792RN) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2016-05-19 |