| NPI | 1013187111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007011) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 6913) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2022-07-21 |