| NPI | 1720293244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701003021) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701003021) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2019-12-12 |