| NPI | 1871218925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R7794) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: OR 445977) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-06-25 |