| NPI | 1881015774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3302) |
| 101YM0800X Counselor, Mental Health (Licence: ID LCPC-5145) | |
| 101YP2500X Counselor, Professional (Licence: ID LCPC-5145) | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2020-11-06 |