| NPI | 1003255340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA E026044) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: VA A63489901) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2015-12-08 |