| NPI | 1740793819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010415) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004552) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2021-07-08 |