| NPI | 1124050869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008326) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2980) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-06-05 |