| NPI | 1023641370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LC50080621) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50080621) |
| 106H00000X Marriage & Family Therapist (Licence: DC LC50080621) | |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |