| NPI | 1508112129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC360) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DC LMFT000121) |
| 101YP2500X Counselor, Professional (Licence: DC CAC111145) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2013-12-19 |