| NPI | 1689118408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010583) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005148) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2019-11-22 |