| NPI | 1366810459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC009269) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2025-06-16 |