| NPI | 1255809083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012181) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006554) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2021-05-10 |