| NPI | 1790411197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: DC PRC200001727) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH22014) |
| 101YM0800X Counselor Mental Health (Licence: MD LGP10990) | |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2023-08-07 |