| NPI | 1518618693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200002330) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSYA200001274) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-02-10 |