| NPI | 1306537766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC013687) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: SC 8282) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-06-06 |