| NPI | 1770983843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH19722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014409) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2024-01-09 |