| NPI | 1871229781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH27519) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC016293) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2026-05-21 |