| NPI | 1952761272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC010128) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MO 2015005932) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2025-09-20 |