| NPI | 1114634771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014838) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC008616) |
| Enumeration Date | 2022-11-03 |
| Last Update Date | 2025-01-26 |