| NPI | 1740427749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA LPC0701005826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2654) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2020-09-04 |