| NPI | 1982262564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC9584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701011861) |
| 101YM0800X Counselor, Mental Health (Licence: DC PRC200001458) | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2023-11-09 |