| NPI | 1932854395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC16694) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701015255) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2025-09-25 |