| NPI | 1033939285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0704016147) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 212003001) |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-11-26 |