| NPI | 1952181562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: DC PRCC200012526) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC16846) |
| 101YM0800X Counselor, Mental Health (Licence: RI MHC01968) | |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2025-12-17 |