| NPI | 1205226719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15346) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701007803) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC7414) | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2024-04-04 |