| NPI | 1851084917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRC200001768) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC141138) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701012495) | |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2024-06-21 |