| NPI | 1346882214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008527) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 1039-07-004) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |