| NPI | 1861096620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701010492) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY 010694) |
| 101YP2500X Counselor Professional (Licence: MD LC11257) | |
| 101YP2500X Counselor Professional (Licence: DC PRC15475) | |
| 101YP2500X Counselor Professional (Licence: GA 011904) | |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2023-01-20 |