| NPI | 1477006823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC9565) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-04-06 |