| NPI | 1619489523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005519) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2022-07-16 |