| NPI | 1508511056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013483) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704014608) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2024-05-26 |