| NPI | 1215427752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006304) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2023-04-05 |