| NPI | 1184219776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0704011144) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC 20116) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2024-08-09 |