| NPI | 1205353265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 010914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 12631) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-11-03 |