| NPI | 1912748518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC LG200002886) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMSW-20895) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |