| NPI | 1023647633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007164) |
| 101Y00000X Counselor (Licence: GA APC007164) | |
| 101YP2500X Counselor, Professional (Licence: GA APC007164) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-10-24 |