| NPI | 1669202701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704016577) |
| Enumeration Date | 2024-08-05 |
| Last Update Date | 2024-10-17 |