| NPI | 1215671227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200002111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC15806) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-01-02 |