| NPI | 1316516644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AK 171094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 291755) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC01365) | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2025-05-05 |