| NPI | 1417785346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW009095) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 5915C) |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-10-21 |