| NPI | 1366083065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701011572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 17252) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-06-30 |