| NPI | 1750608014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC007349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AL 2829) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2022-10-30 |