| NPI | 1992364798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC10603) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PRC200012788) |
| 101YM0800X Counselor, Mental Health (Licence: VA 0701015591) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2026-06-18 |