| NPI | 1396042974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 72022793503) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2023-02-15 |