| NPI | 1013317577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012853) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006809) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-04-09 |