| NPI | 1922623289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA MFT002068z) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA MFT002068z) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2024-03-05 |