| NPI | 1447877204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15344) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC013344) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704007656) | |
| 101YP2500X Counselor, Professional (Licence: VA 0704007656) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC013344) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC15344) | |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2023-03-15 |