| NPI | 1821707522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0704018703) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9086) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2026-04-24 |