| NPI | 1235780776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC6784) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2024-11-08 |