| NPI | 1912384546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701008466) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH15060) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2025-01-01 |