| NPI | 1124221585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC006881) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health (Licence: GA LPC006881) | |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2023-10-25 |