| NPI | 1821712258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701011760) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2544) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |