| NPI | 1700213766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701005610) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2024-04-15 |