| NPI | 1154186369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014444) |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103TE1100X Psychologist, Exercise & Sports | |
| 174H00000X Health Educator | |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |