| NPI | 1578919007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA 008771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17905) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2025-01-03 |