| NPI | 1184070195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 12182) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC LPC10365) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC012144) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2026-01-13 |