| NPI | 1811425861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC7217) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |