| NPI | 1598107492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701005487) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2024-02-29 |