| NPI | 1598107849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701008397) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC15416) | |
| 101YM0800X Counselor, Mental Health (Licence: MD LC10901) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2021-06-09 |