| NPI | 1922473347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC005475) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA LPC 6574) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2024-08-25 |