| NPI | 1891064192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 0701005100) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701005100) | |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-11-21 |