| NPI | 1104522382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21839) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014520) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2026-02-09 |