| NPI | 1205557105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA 015435) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School (Licence: GA 1616642) | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2025-02-20 |