| NPI | 1649715574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 13-03-02) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C5520) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2022-04-09 |