| NPI | 1225438153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701005922) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701005922) |
| 101YP2500X Counselor Professional (Licence: VA 0701005922) | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |