| NPI | 1750746079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: GA 010038) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA APC004057) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2023-02-09 |