| NPI | 1144059163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704016655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701015776) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2026-04-04 |