| NPI | 1659009090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014124) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007797) |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2023-10-04 |