| NPI | 1598101800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007534) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701007534) |
| 222Q00000X Developmental Therapist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2022-01-25 |