NPI | 1407593254 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014198) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014198) |
Enumeration Date | 2022-05-13 |
Last Update Date | 2024-05-16 |