| NPI | 1912158379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004434) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH9217) |
| 101YP2500X Counselor, Professional (Licence: DC PRC14487) | |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2023-07-28 |