| NPI | 1083310494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC014102) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC007684) |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-09-21 |