| NPI | 1205300282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701007163) |
| 101YP2500X Counselor, Professional (Licence: VA 0701007163) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2023-11-27 |