| NPI | 1417531245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701009426) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 8745) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |