| NPI | 1174266985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 006480) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014101) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2023-10-31 |