| NPI | 1619600814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: VA 0701011582) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2025-08-06 |