| NPI | 1639988553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704015889) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0732011111) |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-03-10 |