| NPI | 1760818967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC4631) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2023-12-06 |