| NPI | 1205236858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0810007368) |
| 101YM0800X Counselor, Mental Health (Licence: DC PSY200001275) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-09-18 |