| NPI | 1801440128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701009047) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI MHC-553) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2020-12-08 |