| NPI | 1730605320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012786) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA APC007128) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-03-15 |