| NPI | 1467082065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 9343) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2024-02-26 |