| NPI | 1801263181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010203) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC004814) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006268) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2022-07-28 |