| NPI | 1306436399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC PRC200001700) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC LG00860) |
| 101YM0800X Counselor Mental Health (Licence: FL 20212) | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-04-10 |