| NPI | 1912394842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC009015) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC004835) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2024-03-25 |