| NPI | 1518517465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC PRC15116) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC15116) |
| 101YP2500X Counselor, Professional (Licence: MD LC11330) | |
| 101YP2500X Counselor, Professional (Licence: VA 0701009108) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2023-03-23 |