| NPI | 1518609106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC015231) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2021001887) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-12-20 |