| NPI | 1740045731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200012830) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC200001688) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2026-06-22 |