| NPI | 1780214460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732001118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0733007192) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |