| NPI | 1275253999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: GA LPC013073) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH26785) |
| Enumeration Date | 2022-09-01 |
| Last Update Date | 2025-12-10 |