| NPI | 1285928572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC14259) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006138) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701006138) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC PRC14259) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2025-09-03 |