| NPI | 1174754766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200002045) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 00924601) |
| 101YP2500X Counselor, Professional (Licence: MD LC6508) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2024-12-30 |