| NPI | 1689887457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: VA 0701003589) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MD LC1414) |
| 101YM0800X Counselor Mental Health (Licence: DC PRC13826) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |