| NPI | 1760904270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006688) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 070106688) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2023-04-27 |