| NPI | 1730375486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SC 6666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC011406) |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2023-08-15 |