| NPI | 1740725241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010984) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005727) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2025-08-11 |