| NPI | 1932870748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701010837) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701010837) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH24364) | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2025-10-28 |