| 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 |