| NPI | 1538610233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC10902) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC4050) | |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701011991) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-10-01 |