| NPI | 1639900202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0022457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC009622) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |