| NPI | 1528591054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011958) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH20275) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-06-19 |