| NPI | 1457671497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC006637) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC002157) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2022-09-20 |