| NPI | 1669497467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C1780) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C1780) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-06-01 |