| NPI | 1952845349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701010987) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2021-11-12 |