| NPI | 1295372175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC013132) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC007096) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2023-03-15 |