| NPI | 1609546241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003793) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003793) |
| 101YP2500X Counselor, Professional (Licence: VA 0812000471) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |