| NPI | 1336897297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007274) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2023-01-10 |