| NPI | 1043545700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P1809131) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2021-03-11 |