| NPI | 1649675190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 361573) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2024-10-01 |