| NPI | 1841010881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701014443) |
| 101YP2500X Counselor, Professional (Licence: VA 0701014443) | |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2025-01-25 |