| NPI | 1386782993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006406) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: VA 090400640) |
| 101Y00000X Counselor (Licence: VA 0904006406) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0904006406) | |
| 101YP1600X Counselor, Pastoral (Licence: VA 0904006406) | |
| 101YS0200X Counselor, School (Licence: VA 0904006406) | |
| 101YS0200X Counselor, School (Licence: VA PPS-0600412) | |
| 106H00000X Marriage & Family Therapist (Licence: VA 0904006406) | |
| 251B00000X Case Management (Licence: VA 0904006406) | |
| 104100000X Social Worker (Licence: VA 0904006406) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2024-12-20 |