| NPI | 1316404171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011099) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006582) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2022-11-07 |