| NPI | 1194431270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA sw20916) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: sw20916) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-07-21 |