| NPI | 1255973491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC15484) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701008399) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC7761) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-10-03 |