| NPI | 1184302192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA lpc007346) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: NJ lpc007346) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-11-18 |