| NPI | 1679236186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704013755) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 0701013362) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-04-11 |