| NPI | 1750408282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 3244) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 3244) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2019-02-07 |