| NPI | 1932870748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701010837) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701010837) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2024-06-06 |