| NPI | 1740934181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012166) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704013707) |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2026-02-23 |