| NPI | 1346858578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701013270) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 15756) |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2025-12-04 |