| NPI | 1053143891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704014229) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-10-14 |