| NPI | 1184865289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008390) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10060) |
| 101YM0800X Counselor, Mental Health (Licence: NV CP5148-R) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-10-16 |