| NPI | 1437836749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701015600) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704015500) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2026-05-19 |