| NPI | 1033632815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.018191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL TPMC2002) |
| 101YP2500X Counselor, Professional (Licence: GA LPC014867) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-10-28 |