| NPI | 1083261200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 07008478) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 0701008478) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2026-07-06 |