| NPI | 1669202701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701015621) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704016577) |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2025-12-16 |