| NPI | 1043455165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC008569) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: UT 5936652-6004) |
| 101YM0800X Counselor, Mental Health (Licence: UT 5936652-6004) | |
| 101YP2500X Counselor, Professional (Licence: UT 5936652-6004) | |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2018-12-07 |