| NPI | 1154922342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010016) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: VA 0701010016) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-07-23 |