| NPI | 1780285189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701009977) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH21279) |
| 101YP2500X Counselor, Professional (Licence: TX 86663) | |
| 101YP2500X Counselor, Professional (Licence: DC PRC2000013) | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2025-05-19 |