| NPI | 1548862105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC PRC200001956) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: DC LGPC00725) |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-05-02 |