| NPI | 1376708354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701007891) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH22575) |
| 101YM0800X Counselor Mental Health (Licence: TN 2045) | |
| 101YP2500X Counselor Professional (Licence: VA 0701007891) | |
| 101YP2500X Counselor Professional (Licence: TN 0000002045) | |
| 101YP2500X Counselor Professional (Licence: FL 22575) | |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2024-01-13 |