| NPI | 1124696471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013360) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007930) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-01-23 |