| NPI | 1528504172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 717760) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 9958) |
| 101YM0800X Counselor, Mental Health (Licence: NC 17471) | |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2026-03-07 |