| NPI | 1417608480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701012967) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701012967) |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2024-11-05 |