NPI | 1922667039 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC013481) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC013481) |
101Y00000X Counselor (Licence: GA LPC013481) | |
Enumeration Date | 2019-06-12 |
Last Update Date | 2025-09-16 |