| NPI | 1154194934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701012887) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701012887) |
| 101YM0800X Counselor Mental Health (Licence: VA 0701012887) | |
| 101YS0200X Counselor School | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-12-13 |