| NPI | 1447886338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012012) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC006076) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-03-29 |