| NPI | 1679140065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH15424) |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2021-06-05 |