| NPI | 1235371097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH6250) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: GA LPC012945) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2023-03-28 |