| NPI | 1972959252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 9113551) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC008807) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2024-02-20 |