| NPI | 1528513793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009833) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004531) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2021-06-16 |