| NPI | 1225850027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732005123) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733004391) |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2024-10-31 |