| NPI | 1548731193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011114) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005730) |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2023-07-03 |