| NPI | 1659304384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC2175) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-06-20 |