| NPI | 1700607181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0732011024) |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2025-07-30 |