| NPI | 1497460133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 8849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC008308) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-01-03 |