| NPI | 1326624263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701012629) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009584) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2025-02-26 |