| NPI | 1760062483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014784) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007225) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2025-03-13 |