| NPI | 1659799229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR c4960) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 59764396004) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-09-06 |