| NPI | 1811585581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC008571) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2023-10-24 |