| NPI | 1578171021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC007445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC013813) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2023-04-27 |