| NPI | 1689061301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH24864) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC010885) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2025-04-28 |