| NPI | 1629323100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701007091) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC006592) |
| 101YP2500X Counselor, Professional (Licence: MD LC8260) | |
| 101YM0800X Counselor, Mental Health (Licence: FL MH11326) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2021-11-27 |