| NPI | 1306459425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701009781) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ME cc6968) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2025-04-16 |