| NPI | 1023986205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LC301317) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC LC301317) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-28 |