| NPI | 1558782011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD 19157) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LG50080028) |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2023-11-16 |