| NPI | 1417474446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011842) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005913) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2021-01-28 |