| NPI | 1295169639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH15333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC#008877) |
| 101YM0800X Counselor, Mental Health (Licence: GA APC003605) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-05-10 |