| NPI | 1205034436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC0527) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC13708) |
| 101YP2500X Counselor, Professional (Licence: VA 0701005011) | |
| 106H00000X Marriage & Family Therapist (Licence: DC LMFT000113) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2019-11-10 |