| NPI | 1275259806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013695) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007462) |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2023-05-18 |