| NPI | 1720028996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 4381) |
| 101YM0800X Counselor, Mental Health (Licence: NC S4381) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-06-16 |