| NPI | 1467134619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC LGPC200001606) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP14173) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-12-11 |