| NPI | 1528108099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA 010382) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH7527) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-05-15 |