| NPI | 1669245858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8649) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR R8649) |
| 103TC1900X Psychologist, Counseling (Licence: OR R8649) | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-11-04 |