| NPI | 1972042091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPCPC009408) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPCPC009408) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC009408) | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-09-18 |