| NPI | 1891019956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC NP1024590) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001209603) |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: DC 0001209603) | |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2026-07-16 |