| NPI | 1609578475 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: DC 200001494) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC 200001494) | 
| 101YP2500X Counselor, Professional (Licence: DC PRC200002418) | |
| Enumeration Date | 2023-03-17 | 
| Last Update Date | 2025-08-05 |