| NPI | 1245557982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004519) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004519) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2019-12-10 |