| NPI | 1538641998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 70580) |
| 101Y00000X Counselor (Licence: VA 0701007751) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701007751) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 70580) | |
| 101YP2500X Counselor, Professional (Licence: TX 70580) | |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2019-09-05 |