| NPI | 1558754309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC PRC14535) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC14535) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional (Licence: DC PRC14535) | |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2024-04-03 |