| NPI | 1669990743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MFT001638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA AMFT000427) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2022-02-07 |