| NPI | 1942435342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: VA 0701006579) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE 8872) |
| 101YP2500X Counselor Professional (Licence: GA LPC007175) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2022-04-12 |