| NPI | 1609531615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010974) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 17869) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-07-29 |