| NPI | 1093815979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701001995) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-02-07 |