| NPI | 1598859555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701003516) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0701003516) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-06-25 |