| NPI | 1982290797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701012768) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VA 0704013638) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-08-21 |