| NPI | 1760921092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701007646) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001414) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0022339) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2025-07-25 |