| NPI | 1669839015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006414) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 91147) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2024-03-01 |