| NPI | 1629719786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701013028) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0704014544) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2023-11-15 |