| NPI | 1134892599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0710103686) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704014048) |
| 103TC1900X Psychologist, Counseling (Licence: VA 0815000343) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2024-06-27 |