| NPI | 1467193250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: VA 0717001898) | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2024-08-10 |