| NPI | 1477170009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701010068) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704009831) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-11-10 |