| NPI | 1669169942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA LPC013908) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC008526) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-05-19 |