| NPI | 1114349909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701006737) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701006737) | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2024-08-12 |