| NPI | 1639945900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP14534) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2023-11-28 |