| NPI | 1790398212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5775) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 10488939) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-08-28 |