| NPI | 1720453780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: DC LPC15111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PR 1033) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-07-31 |