| NPI | 1215463476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH21622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC016863) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2026-06-01 |