| NPI | 1124637129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC11462) |
| Enumeration Date | 2020-07-26 |
| Last Update Date | 2025-09-22 |