| NPI | 1629391552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC14153) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH9613) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2013-11-23 |