| NPI | 1477220465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012679) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006773) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-03-12 |