| NPI | 1700834447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701002829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701002829) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-04-15 |