NPI | 1932471067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TS0200X Psychologist, School (Licence: VA PPS-0600673) |
Additional Taxonomies | 101Y00000X Counselor (Licence: VA PPS-0600673) |
101YS0200X Counselor, School (Licence: VA PPS-0600673) | |
101YS0200X Counselor, School (Licence: NC 1973) | |
103T00000X Psychologist (Licence: VA PPS-0600673) | |
103TS0200X Psychologist, School (Licence: NC 1973) | |
103TS0200X Psychologist, School (Licence: VA 0813000437) | |
171M00000X Case Manager/Care Coordinator (Licence: VA PPS-0600673) | |
172V00000X Community Health Worker (Licence: VA PPS-0600673) | |
174H00000X Health Educator (Licence: VA PPS-0600673) | |
Enumeration Date | 2012-02-06 |
Last Update Date | 2016-12-09 |