| NPI | 1194517920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC016507) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009661) |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2026-03-16 |