| NPI | 1851643209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701006438) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A9353) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2024-06-07 |