| NPI | 1235701277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007071) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2021-10-01 |