| NPI | 1366166282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011826) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2023-05-31 |