| NPI | 1386182806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011388) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH16633) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2020-07-09 |