| NPI | 1144003096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH22525) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC016436) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-03-20 |