| NPI | 1487352340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704013968) |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2024-01-16 |