| NPI | 1386953164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004858) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 00051953) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2014-10-29 |