| NPI | 1275049231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LC8125) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC PRC20001241) |
| 101YM0800X Counselor, Mental Health (Licence: MD LC8125) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701007497) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-01-21 |