| NPI | 1598096539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003339) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003339) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2025-04-14 |