| NPI | 1558753475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH11069) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2024-06-21 |