| NPI | 1326314667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: GA LPC007455) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA NCC 259849) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-06-20 |