| NPI | 1720506504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.012614) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC011597) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-02-08 |