| NPI | 1811980519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC004251) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC004251) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2026-01-23 |