| NPI | 1760134571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011185) |
| Enumeration Date | 2022-01-23 |
| Last Update Date | 2024-02-29 |