NPI | 1518231471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701011482) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC69988) |
101YP2500X Counselor, Professional (Licence: GA LPC004462) | |
Enumeration Date | 2012-02-23 |
Last Update Date | 2024-07-31 |