| NPI | 1467779843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701004671) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0701004671) |
| 101YS0200X Counselor School (Licence: MD LC2434) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-06-25 |