| NPI | 1841642337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C6658) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C6658) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2022-03-31 |