| NPI | 1366162307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704017545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID lcp-9060) |
| 101YP2500X Counselor, Professional (Licence: ID lcp-9060) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-03-21 |