NPI | 1902944549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701001122) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 02234) |
1041C0700X Social Worker, Clinical (Licence: DC LC301008) | |
Enumeration Date | 2007-02-04 |
Last Update Date | 2007-07-08 |