| NPI | 1912420985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC012667) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA APC005699) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-05-11 |