| NPI | 1134577190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC014707) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC014707) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2025-01-22 |