| NPI | 1245977115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: GA LPC016379) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26363) |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2026-08-03 |