| NPI | 1336580224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701005399) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701005399) |
| 101Y00000X Counselor (Licence: DC PRC14123) | |
| 101YM0800X Counselor Mental Health (Licence: VA 0701005399) | |
| 101YM0800X Counselor Mental Health (Licence: DC PRC14123) | |
| 101YP2500X Counselor Professional (Licence: DC PRC14123) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-01-06 |