| NPI | 1083101828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701008970) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC15021) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC15021) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC15021) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-01-30 |