| NPI | 1538496625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701004445) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0812000577) |
| 101YM0800X Counselor, Mental Health (Licence: MA 6333) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701004445) | |
| 101YP2500X Counselor, Professional (Licence: VA 11875) | |
| 1041C0700X Social Worker, Clinical (Licence: MA 313264) | |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2020-12-29 |