| NPI | 1437729381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010599) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701010599) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC15022) | |
| 101YP2500X Counselor, Professional (Licence: MD LC15022) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-04-17 |