| NPI | 1578052486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC8316) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MD LC8316) |
| 101Y00000X Counselor (Licence: DC PRC14889) | |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC14889) | |
| 101YP2500X Counselor, Professional (Licence: MD LC8316) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC14889) | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2019-06-11 |