| NPI | 1689217424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3913) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC0003045) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2019-10-24 |