| NPI | 1104319201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011320) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005664) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-05-02 |