| NPI | 1437768330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732006377) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733005704) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |