| NPI | 1881455194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701015228) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0704016477) |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2025-08-22 |