| NPI | 1518360312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008237) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15085) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2024-04-08 |