| NPI | 1659750180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC0004) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LGP6173) |
| 101YM0800X Counselor, Mental Health (Licence: DC 336557) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-06-01 |