| NPI | 1689078529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C1587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1587) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2015-01-21 |