| NPI | 1831562289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C8089) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD-D-10166851) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2024-04-05 |