| NPI | 1801856356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4712) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 98-169) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2018-05-25 |