| NPI | 1851829089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 4332) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC015693) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2025-09-27 |