NPI | 1699939058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701007496) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WV 1020) |
101YP2500X Counselor Professional (Licence: WV 1895) | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2021-03-18 |