| NPI | 1407169980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012949) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 9586) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2026-01-14 |