| NPI | 1326564220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 2571) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: GA LPC009757) |
| 101Y00000X Counselor (Licence: MS 2571) | |
| 101YM0800X Counselor, Mental Health (Licence: MS 2571) | |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC009757) | |
| 101YP2500X Counselor, Professional (Licence: GA LPC009757) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2020-03-23 |