| NPI | 1902308240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701013085) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2025-06-24 |