| NPI | 1134886443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701012597) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704013480) |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2023-09-06 |