| NPI | 1720464852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA CSW006632) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MSW006914) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-07-30 |
| Last Update Date | 2022-06-09 |