| NPI | 1558823690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701011438) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701011438) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701011438) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-04-27 |