| NPI | 1790330579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006651) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-12-09 |