| NPI | 1629721774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 07011011156) |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2024-11-22 |