| NPI | 1962467449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701003467) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701003467) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-03-23 |