| NPI | 1134776529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701009425) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0704009808) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2020-07-27 |