| NPI | 1811389455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009847) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC00358) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC009847) | |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2024-04-01 |