| NPI | 1083102842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC015465) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA LPC015465) |
| 101YP2500X Counselor, Professional (Licence: GA LPC015465) | |
| 101YP1600X Counselor, Pastoral (Licence: GA LPC015465) | |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2026-05-26 |