| NPI | 1932823226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0732009832) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VA 0002068356) |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |