| NPI | 1386511806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200012544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP17224) |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-31 |