| NPI | 1043917479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGPC10665) |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-15 |