| NPI | 1831833839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 04876) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011566) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810007900) | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2022-08-05 |