| NPI | 1235720269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16477) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-06-06 |