| NPI | 1558807701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH23024) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC016424) |
| 101YM0800X Counselor, Mental Health (Licence: SC 11974) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2026-04-27 |