| NPI | 1487237996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0717002001) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0730000575) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-03-29 |