| NPI | 1154967941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LAPC006720) |
| 101YM0800X Counselor, Mental Health (Licence: GA APC006720) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-08-05 |