| NPI | 1275003535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA MFT001764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC011623) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2025-01-07 |