| NPI | 1467742098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004769) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701004769) |
| Enumeration Date | 2011-04-16 |
| Last Update Date | 2011-04-16 |