| NPI | 1417010356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005133) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4307) |
| 101YP2500X Counselor, Professional (Licence: NC 4307) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-11-07 |