| NPI | 1104596253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC014188) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC007675) |
| Enumeration Date | 2021-09-19 |
| Last Update Date | 2024-01-18 |