| NPI | 1194118166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH12608) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC011752) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2024-05-01 |