| NPI | 1790356418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 3403) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0732001362) |
| Enumeration Date | 2021-07-03 |
| Last Update Date | 2021-07-03 |