| NPI | 1639666704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC011633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009083) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2022-04-04 |