| NPI | 1952768632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013138) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC013138) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC013138) | |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2024-05-13 |