| NPI | 1326712340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732001946) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LGP11527) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0733001708) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |