| NPI | 1154735272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH14772) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014317) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-02-16 |