| 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 |