| NPI | 1275187387 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200001270) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGPC10802) | 
| 101YP2500X Counselor, Professional (Licence: DC LGPC00603) | |
| Enumeration Date | 2019-07-26 | 
| Last Update Date | 2021-11-16 |