| NPI | 1841699154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004795) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2024-01-12 |