| NPI | 1760930531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011798) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17031) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2023-08-02 |