| NPI | 1497297816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC010802) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: GA APC005325) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2020-03-06 |