| NPI | 1164117636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC04894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC004179) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2025-11-04 |