| NPI | 1245617877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904015992) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2024-08-06 |