| NPI | 1225450794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14661) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC5483) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2020-05-21 |