| NPI | 1609473750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: DC LGPC00541) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LGP9539) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |