| NPI | 1194105452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701012048) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15826) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2025-01-10 |