| NPI | 1164151155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP12073) |
| 225C00000X Rehabilitation Counselor (Licence: 398564) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |