| NPI | 1518049147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 071003100) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701003100) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-12-06 |