| NPI | 1568233955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD LGP14844) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC LGPC200001639) |
| 101Y00000X Counselor (Licence: MD LGP14844) | |
| 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001639) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LGP14844) | |
| 101YP2500X Counselor, Professional (Licence: DC LGPC200001639) | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-01-27 |