| NPI | 1083245856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: DC PSYA00299) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 174400000X Specialist | |
| 175T00000X Peer Specialist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2021-02-16 |