| NPI | 1467917401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701008150) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701008150) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2023-11-28 |