| NPI | 1154077659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013466) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC007219) |
| 101YP2500X Counselor, Professional (Licence: GA LPC13466) | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2024-11-18 |