| NPI | 1225141930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701002983) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-06-05 |