| NPI | 1457754343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005863) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 5959125) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2024-12-11 |