| NPI | 1184351421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC015432) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 596803) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2025-01-22 |