| NPI | 1245357979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 5515) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701004076) |
| 101YP2500X Counselor, Professional (Licence: DC PRC13865) | |
| 101YP2500X Counselor, Professional (Licence: NC 3867) | |
| 101YP2500X Counselor, Professional (Licence: TX 14407) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |