| NPI | 1194294371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC011912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA APC006202) |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2022-07-22 |