| NPI | 1376190900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012728) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006871) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2024-01-23 |