| NPI | 1528367661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010193) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC006919) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2024-02-22 |