| NPI | 1669108288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200002262) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC17272) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701016074) | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2026-07-02 |