| NPI | 1134474620 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC014262)  | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC014262)  | 
| 171400000X Health & Wellness Coach | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-07-20 | 
| Last Update Date | 2025-06-29 |