| NPI | 1245815976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701015309) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 012930-01) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2026-04-07 |