| NPI | 1629627062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC005412) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC011254) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-06-25 |