| NPI | 1790404721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MD LC14005) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0704015005) |
| 101YM0800X Counselor Mental Health (Licence: MD LC14005) | |
| 101YP2500X Counselor Professional (Licence: VA 0704015005) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2024-05-22 |