| NPI | 1497346266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010131) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MFT001622) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2021-02-03 |