| NPI | 1639898166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0704015149) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0704015149) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |