| NPI | 1427316520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009337) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11016) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2024-11-08 |