| NPI | 1073981239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH13849) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2023-12-20 |