| NPI | 1669980587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001348) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: VA 0704014660) | |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2024-01-06 |