| NPI | 1811665649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007926) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9483) |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |