| NPI | 1023665593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008328) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701008328) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2023-09-30 |