| NPI | 1740545557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701006394) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701006394) |
| 101YM0800X Counselor, Mental Health (Licence: GA 005840) | |
| 101YP2500X Counselor, Professional (Licence: NC 9474) | |
| 101YP2500X Counselor, Professional (Licence: GA 005840) | |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2021-11-22 |