| NPI | 1053822205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14971) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2018-03-17 |