| NPI | 1083206262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC014291) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-12-06 |