| NPI | 1811582984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC0136698) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007771) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-07-24 |