| NPI | 1033654496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MFT001467) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC009312) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2022-09-09 |