| NPI | 1417459918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LPC15145) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00276) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-01-23 |