| NPI | 1730934332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704015630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701014929) |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2026-06-05 |