| NPI | 1598125155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101Y00000X Counselor (Licence: DC PRC14749) |
| 101Y00000X Counselor (Licence: MD LC7708) | |
| 101YM0800X Counselor Mental Health (Licence: DC PRC14749) | |
| 101YM0800X Counselor Mental Health (Licence: MD LC7708) | |
| 101YP2500X Counselor Professional (Licence: DC PRC14749) | |
| 101YP2500X Counselor Professional (Licence: MD LC7708) | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-01-07 |