| NPI | 1821451683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010403) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC005080) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2019-12-19 |