| NPI | 1306304464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009961) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009961) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-10-30 |