| NPI | 1801476767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0717001813) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0717001813) |
| 101YP2500X Counselor Professional (Licence: VA 0717001813) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0717001813) | |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2024-02-23 |