| NPI | 1780470211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704016905) |
| Enumeration Date | 2025-04-21 |
| Last Update Date | 2025-09-03 |