| NPI | 1316354053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 070100954) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701009594) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-03-15 |