| NPI | 1649741018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA APC006789) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC012051) |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2023-02-06 |