| NPI | 1568679116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005008) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701005008) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-04-28 |