| NPI | 1740234889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR LPCC2180) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2180) |
| 101YP2500X Counselor, Professional (Licence: CO 2756) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2023-03-22 |