| NPI | 1154205748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701014441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC 200002188) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |