| NPI | 1376052563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701008256) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: DC PRC15191) |
| 101YM0800X Counselor Mental Health (Licence: NY 006507) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2024-12-31 |