| NPI | 1225548456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011879) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005927) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2024-10-02 |