| NPI | 1841914231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701012435) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 017414) |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2026-03-23 |