| NPI | 1598128407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 1939) |
| 101YM0800X Counselor, Mental Health (Licence: AL 3807) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701011181) | |
| 101YP2500X Counselor, Professional (Licence: AL 3807) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-04-23 |