| NPI | 1184133639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 004297) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2024-11-19 |