| NPI | 1053676130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001939) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2026-08-04 |