| NPI | 1356900476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704014643) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC12710) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-03-13 |