| NPI | 1508508904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC200001976) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001254) |
| 101YP2500X Counselor, Professional (Licence: MD LC15945) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2025-02-10 |