| NPI | 1801325709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC010456) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-11-18 |