| NPI | 1801405246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010349) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: GA 772112) |
| 101YS0200X Counselor, School (Licence: VA PPS-0603625) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |