| NPI | 1679950091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: VA 0701015511) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH27053) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2026-03-11 |