| NPI | 1447646922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007624) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701007624) |
| 101YP2500X Counselor, Professional (Licence: MD LCP8518) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-12-19 |