| NPI | 1932648359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: OR 144476) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2018-03-27 |