| NPI | 1245991298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011196) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011196) |
| 101YP2500X Counselor, Professional (Licence: MS 2312) | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2025-07-17 |