| NPI | 1437783404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007187) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-05-19 |