| 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 |