| NPI | 1346806007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0704013687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704013687) |
| 101YP2500X Counselor, Professional (Licence: NC A14809) | |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2022-03-03 |