| NPI | 1780869552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC13827) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor (Licence: DC PRC13827) | |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2024-05-10 |