| NPI | 1427498948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 07001007663) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2020-07-07 |