| NPI | 1164388419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200012565) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP17390) |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |